340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
FQHCLA81D NORTHEAST COMMUNITY CLINIC
Print
Covered Entity Details
Entity Name
NORTHEAST COMMUNITY CLINIC
Subdivision Name
FOSHAY LEARNING CENTER
Type
Health Center Program Look-Alike
340B ID
FQHCLA81D
Entity Address
3751 S HARVARD BLVD
LOS ANGELES, CA 90018
Grant Number
LALCS00033
Participating Start Date
4/1/2011
Last Recertification Date
2/21/2017
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
Pharmacy Address
313 N FIGUEROA STREET
SUITE 1225
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
4/8/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
4/8/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session